STIT LAGUM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006979

License Status

NOT RENEWED

Business

First Name

STIT

Last Name

LAGUM

Business Name

STIT LAGUM

Original Issue Date

05/11/1992

Effective Date

05/11/1992

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005